Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICA NICOLE MARTIN
Active Sole ProprietorERICA NICOLE MARTIN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in JACKSON, Tennessee. NPI 1174305007 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · JACKSON, TN
Registration Details
- NPI Number
- 1174305007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2023 (2.8730946042043 yrs)
- Last Updated
- May 6, 2024
- License
-
I000000022582 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
364 N PARKWAY STE 8JACKSON, TN, 383052874Browse TN providers · Browse ZIP 38305
- Phone
- 7314317241
- Fax
- 7317361111
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. INDYA DANIELS | — | 1780208116 |
| JEREMY O'BRIEN BEARD | — | 1033827852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.